Visual outcome of congenital and developmental cataract surgery in Lumbini Eye Institute

Authors

DOI:

https://doi.org/10.3126/ajms.v9i2.18780

Keywords:

Visual acuity, Congenital and developmental cataract, Cataract surgery, Refractive error correction, Amblyopia

Abstract

Background: Paediatric blindness presents as an enormous problem to developing countries in terms of human morbidity, economic loss and social burden.

Aims and Objective: The objective of this study was to observe the visual outcome of congenital and developmental cataract surgery.

Materials and Methods: This study was prospective, longitudinal and interventional. The patients aged ≤15 years, diagnosed either congenital or developmental cataract and planned for cataract surgery were enrolled during March 2014 to February 2015 at Lumbini Eye Institute, Nepal. The patients underwent either: a) Lens aspiration + PPC+ Anterior Vitrectomy; b) Lens aspiration + PPC+ Anterior Vitrectomy + PCIOL; c) Lens Aspiration + PCIOL depending upon age of patient. The patients were examined after surgery day 1, day 2, after 2 weeks and after 6 weeks. Glasses were prescribed at 6 weeks from the date of surgery. Occlusion therapy was initiated in cases wherever necessary.

Results: A total of 54 eyes of 43 children were included in the study. The sex ratio was 1.26 female per male with mean age of 3 years (SD ± 2.16). In the verbal group, 61.1% (33 eyes) had final visual acuity (6/6-6/18). In the non verbal group, 16.7% (9 eyes) had final visual acuity of good fixation and follow. There was a statistically highly significant improvement in post surgical Best corrected visual acuity (p< 0.001).

Conclusion: Good visual outcome after pediatric cataract surgery can be obtained if surgery is performed by skilled surgeon. The awareness of pediatric cataract, early diagnosis and timely intervention to surgical treatment, and postoperative management of residual uncorrected refractive error and amblyopia are important factors for the prevention of childhood blindness from cataract.

Asian Journal of Medical Sciences Vol.9(2) 2018 36-39

Downloads

Download data is not yet available.
Abstract
936
PDF
758

Downloads

Additional Files

Published

2018-03-01

How to Cite

Hirachan, A., Bajracharya, K., KC Rai, S., Malla Bhari, A., & Chandra, A. (2018). Visual outcome of congenital and developmental cataract surgery in Lumbini Eye Institute. Asian Journal of Medical Sciences, 9(2), 36–39. https://doi.org/10.3126/ajms.v9i2.18780

Issue

Vol. 9 No. 2 (2018)

Section

Original Articles

License

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).